Distale Radiusfrakturen Teil I. Grundlagen und konservative Therapie

Oestern, H.-J.

doi:10.1007/s001040050886

Cited by 22 publications

(15 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although there are measurable relative changes, one can never be certain whether a gain in length achieved by reduction and fixation corrects the full injury-related loss or only some of it. Many studies attribute a significant influence on the clinical outcome to the radial shortening [3,4,10,15,18,20]. Frequently, the limit of 2 mm, after which functionally unsatisfactory outcomes must be expected, is considered to be clinically significant [2,10,15,19].…”

Section: Discussionmentioning

confidence: 99%

“…However, in view of the results of this study, a stable fracture would have to be classified as a fracture with little or no dislocation. Previous studies have shown that the assessment of the stability of a radius fracture is subject to a considerable source of error, irrespective of the classification system used [4,9,10,20]. The AO system also results in incorrect classification in 40% of cases when conventional radiographs are used [1,12].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Can the displacement of a conservatively treated distal radius fracture be predicted at the beginning of treatment?

Einsiedel¹,

Freund

Sander

et al. 2008

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

The aim of this study was to investigate whether the final displacement of conservatively treated distal radius fractures can be predicted after primary reduction. We analysed the radiographic documents of 311 patients with a conservatively treated distal radius fracture at the time of injury, after reduction and after bony consolidation. We measured the dorsal angulation (DA), the radial angle (RA) and the radial shortening (RS) at each time point. The parameters were analysed separately for metaphyseally "stable" (A2, C1) and "unstable" (A3, C2, C3) fractures, according to the AO classification system. Spearman's rank correlations and regression functions were determined for the analysis. The highest correlations were found for the DA between the time points 'reduction' and 'complete healing' (r=0.75) and for the RA between the time points

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Can the displacement of a conservatively treated distal radius fracture be predicted at the beginning of treatment?

Einsiedel¹,

Freund

Sander

et al. 2008

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Die Bohrdrahtosteosynthese hat ebenso wie der Fixateur externe, die dorsale oder palmare Plattenosteosynthese einen festen Platz in der Behandlung distaler Radiusfrakturen [3]. Die Therapie variiert von Klinik zu Klinik und wird nach wie vor kontrovers diskutiert [2,7,8,11,13,16,17,19,28,30,38] [21,26], die nicht Gegenstand der vorliegenden Untersuchung sind.…”

Section: Schlüsselwörterunclassified

Ergebnisse der palmaren Plattenosteosynthese bei instabilen distalen Radiusfrakturen

Dumont¹,

Fuchs²,

Folwaczny³

et al. 2003

Der Chirurg

View full text Add to dashboard Cite

For unstable fractures of the distal radius, the dorsal plate requires exposure of the fragments, frequently spongioplasty, and usually removal of the implant later on. However, with the palmar approach for the reconstruction of the articular surface and restoration can easily be achieved with the T-plate. In the Traumatology Department of the University at Göttingen, we have gained experience in the treatment with the palmar T-plate in more than 400 patients. In a prospective study, we investigated the functional and radiological results after palmar T-plate osteosynthesis in Colles fractures. From September 1994 to December 1998 we treated 200 patients with the palmar T-plate (AO, 3.5 mm, titanium). 166 patients (83%), mean age 59 years, could be followed up >18 months. AO classification: A2:10, A3:45, B1:18, B2:10, C1:24, C2:40, C3:19. We compared group 1 (younger than 60 years, n=88) vs group 2 (older than 60 years, n=78). The patients' evaluation of the usability of the hand was normal in 56% and in 26,5% slightly reduced. 12,5% felt handicapped and 5% felt severely handicapped. 5% of the patients changed the domain hand, 15,4% at least partly. Function according to Lidström: 23% excellent, 58% good, 15% fair and 4% poor results. Radiological results according to Lidström were excellent and good in 88,3% and fair in 11,7%. Gartland and Werley score was excellent in 66%, good in 24%, fair in 6% and poor in 4%. There was no significant difference between group 1 and group 2 in the age-depending results. The secondary dislocation, the average dorsal tilt was 3 degrees, the mean shortening of the radius was 1,5 mm. We saw steps in the joint surface from 0,5-1 mm in 10%. An algodystrophy occurred in 5%. 12% of the patients complained of limited sensitive irritations of the medianus nerve most likely originating in the formerly used approach close to the medianus nerve. After changing this approach, we saw no irritation of the Nervus medianus among 50 patients so far. Evaluation of the functional and radiological investigations: The palmar T-plate has produced reliable and good results in the treatment of unstable distal fractures of the radius without angle-stable screws up to now. This type of osteosynthesis is stable for exercise and ensures early mobilization with good functional results even in elderly patients.

show abstract

“…Distale Radiusfraktur · Winkelstabilität · Plattenosteosynthese · Outcome Klinische Studien haben eine enge Wechselbeziehung zwischen dem radiologischen Endresultat und dem funktionellen Ergebnis bei körperfernen Speichenbrüchen [1,17,20] nachgewiesen. Ein Wandel der Versorgungsstrategie zu einem ver1mehrt operativen Vorgehen wurde vollzogen.…”

Section: Schlüsselwörterunclassified

“…Die alleinige konservative Behandlung erreicht bei einfacher oder mehrfacher Gelenkbeteiligung nur bis zu 50% gute und sehr gute Ergebnisse [17,20]. Dies ist nicht ausreichend.…”

Section: Diskussionunclassified

Winkelstabile, volare Plattenosteosynthese komplexer artikul�rer Frakturen am distalen Radius

Thielke

Wagner²,

Bartsch³

et al. 2003

Der Chirurg

View full text Add to dashboard Cite

Fractures of the distal radius represent one of the most common fractures and have high socioeconomic relevance. Using the volar approach to avoid the soft tissue problems associated with dorsal plating, we treated a consecutive series of 49 displaced intra-articular distal radius fractures with a new fixed-angle internal fixation device. According to the AO classification, there were 21 C1, 19 C2, and nine C3 fractures. A retrospective study was carried out to obtain the functional results after open reduction and plate osteosynthesis. Loss of correction between postoperative and follow-up radiography was 1 degrees in volar tilt and radial inclination. The radial shortening was 1 mm. Wrist motion at final follow-up examination had recovered to an average of 80% of that at the normal, contralateral site. Overall outcome according to the Gartland and Werley scales showed 35% excellent, 50% good, and 15% fair results. Using the Martini score, we obtained 85% excellent and good results. The DASH score represented high subjective satisfaction.

show abstract

Distale Radiusfrakturen Teil I. Grundlagen und konservative Therapie

Cited by 22 publications

References 32 publications

Can the displacement of a conservatively treated distal radius fracture be predicted at the beginning of treatment?

Can the displacement of a conservatively treated distal radius fracture be predicted at the beginning of treatment?

Ergebnisse der palmaren Plattenosteosynthese bei instabilen distalen Radiusfrakturen

Winkelstabile, volare Plattenosteosynthese komplexer artikul�rer Frakturen am distalen Radius

Contact Info

Product

Resources

About